1. Date
2. Is it your first time to visit?YesNo
3. FOOD Portion sizeToo smallToo LargeJust right
4. Flavour Needs ImprovementAverageGoodExcellent
5. Presentation Needs ImprovementAverageGoodExcellent
6. Value for money PoorBelow averageGoodExcellentaverage
7. Choice Needs ImprovementAverageGoodExcellent
8. Freshness Needs ImprovementAverageGoodExcellent
9. SERVICE ---FriendlyNeeds ImprovementAverageGoodExcellent
10. Professional ---Needs ImprovementAverageGoodExcellent
11. Explanation of menu Needs ImprovementAverageGoodExcellent
12. Time taken to be served Needs ImprovementAverageGoodExcellent
13. Account settlement Needs ImprovementAverageGoodExcellent
14. VENUE AtmosphereNeeds ImprovementAverageGoodExcellent
15. Cleanliness of Venue ---Needs ImprovementAverageGoodExcellent
16. Staff presentation ---Needs ImprovementAverageGoodExcellent
17. What suggestions can you make to help us improve on the provision of better products and services to your satisfaction?
18. Would like to get our online newsletter / product offers (optional) YesNo
19. Your name
20. Phone
21. Email Address
